This Product Contains Sensitive Taxpayer
Data
Request Date: 05-18-2025
Response Date: 05-18-2025
Tracking Number: 108058376778
Wage and Income Transcript
SSN Provided: XXX-XX-2892
Tax Period Requested: December, 2022
Form W-2 Wage and Tax Statement
Employer:
Employer Identification Number (EIN):XXXXX4687
AMAZ
PO BOX
Employee:
EmployeeVs Social Security Number:XXX-XX-2892
ANDE BATI HOLG
127 SA
Submission Type:.............................................Original document
Wages, Tips and Other Compensation:.................................L17,292.00
Federal Income Tax Withheld:.........................................L1,628.00
Social Security Wages:..............................................L17,545.00
Social Security Tax Withheld:........................................L1,087.00
Medicare Wages and Tips:............................................L17,545.00
Medicare Tax Withheld:.................................................L254.00
Social Security Tips:....................................................L0.00
Allocated Tips:..........................................................L0.00
Dependent Care Benefits:.................................................L0.00
Deferred Compensation:.................................................L253.00
Code "Q" Nontaxable Combat Pay:..........................................L0.00
Code "W" Employer Contributions to a Health Savings Account:.............L0.00
Code "Y" Deferrals under a section 409A nonqualified Deferred Compensation
plan:....................................................................L0.00
Code "Z" Income under section 409A on a nonqualified Deferred Compensation
plan:....................................................................L0.00
Code "R" EmployerVs Contribution to MSA:.................................L0.00
Code "S" EmployerVs Contribution to Simple Account:......................L0.00
Code "T" Expenses Incurred for Qualified Adoptions:......................L0.00
Code "V" Income from exercise of non-statutory stock options:............L0.00
Code "AA" Designated Roth Contributions under a Section 401(k) Plan:.....L0.00
Code "BB" Designated Roth Contributions under a Section 403(b) Plan:.....L0.00
Code "DD" Cost of Employer-Sponsored Health Coverage:....................L0.00
Code "EE" Designated ROTH Contributions Under a Governmental Section 457(b)
Plan:....................................................................L0.00
Code "FF" Permitted benefits under a qualified small employer health
reimbursement arrangement:...............................................L0.00
Code "GG" Income from Qualified Equity Grants Under Section 83(i):.......L0.00
Code "HH" Aggregate Deferrals Under Section 83(i) Elections as of the Close
of the Calendar Year:....................................................L0.00
Third Party Sick Pay Indicator:.....................................Unanswered
Retirement Plan Indicator:...............................Yes - retirement plan
Statutory Employee:.....................................Not Statutory Employee
W2 Submission Type:...................................................Original
W2 WHC SSN Validation Code:........................................Correct SSN
Form 1099-R Distributions from Pensions, Annuities, Retire or Profit-Sharing Plan
Payer:
PayerVs Federal Identification Number (FIN):XXXXX8107
FIDE
100 MA
Recipient:
RecipientVs Identification Number:XXX-XX-2892
BATI HOLG ANDE
127 SA
Submission Type:.............................................Original document
Account Number (Optional):................................................5445
Distribution Code Value:
......Early Distribution, no known exception (in most cases, under age 59 1/2)
Distribution Code:...........................................................1
Distribution Code Value:.......................................Not significant
Distribution Code:.......................................................Blank
Tax Amount Undetermined Code:......................................Not checked
Total Distribution Code:....................................Total Distribution
First Year Roth Contribution:.............................................0000
SEP Indicator:....................................IRA/SEP/SIMP box not checked
FATCA Indicator:.....................................................not FATCA
Date of Payment for Reportable Death Benefits under Section 6050Y:. 00-00-0000
Tax Withheld:...........................................................L45.00
Total Employee Contributions:............................................L0.00
Unrealized Appreciation:.................................................L0.00
Other Income:............................................................L0.00
Gross Distribution:....................................................L229.00
Taxable Amount:........................................................L229.00
Eligible Capital Gains:..................................................L0.00
Amount to IRR:...........................................................L0.00
This Product Contains Sensitive Taxpayer
Data